ANDREW BALTAZAR - Pharmacist License in Illinois | # 049223224

ANDREW BALTAZAR

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223224

License Status

NOT RENEWED

Business

N

First Name

ANDREW

Last Name

BALTAZAR

Prefix

MR

Business Name

ANDREW BALTAZAR

Original Issue Date

02/02/2014

Effective Date

02/02/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015